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General NPI Number Information
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NPI Number | 1255343919
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Entity Type | Individual
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Provider Name | CRAIG WARREN SNYDER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 315 S CROUSE AVE SUITE 302
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City | SYRACUSE
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State | NY
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Zip | 13210-1845
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Country | US
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Telephone | 315-491-0253
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Fax | 315-478-1878
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Provider Business Mailing Address
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Address Line | 4204 GORDON COOPER DR
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City | JAMESVILLE
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State | NY
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Zip | 13078-9781
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Country | US
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Telephone | 315-491-0253
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Fax | 315-472-1759
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000020
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License Number State | NY
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